Individual
SELENA ESTES-WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
1120 E MAIN, SUITE 21, PHILADELPHIA, MS 39350
(662) 803-7285
(601) 568-5016
Mailing address
142 MCCULLOUGH RD, LOUISVILLE, MS 39339
(662) 803-7285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1183
MS
Other
Enumeration date
10/03/2006
Last updated
12/10/2014
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